surgery

This health-care crisis is growing

Hospitals — running over budget, operating beds they don’t have funding for. Emergency rooms — patients stacked up in hallways. Acute care beds — too many blocked, occupied by people waiting to leave hospital but with no place to go. Ambulances — stretched to the limit, often not available at all.

December 21, 2016

It’s an old story. One we would rather not argue about again. But here’s the problem. Things are not getting better, they’re getting worse. And so this old story appears here yet again in hopes it will take on a new sense of urgency.

Hamilton Health Sciences needs to cut $20 million from its budget, St. Joseph’s Healthcare $7 million. In both cases, staffing will be affected, stretching already thin human resources even thinner. Executive staff are being cut as well as front line. In the case of HHS, three senior executives are leaving. And that’s at a hospital system that already spends below the provincial average on administration, according to the Canadian Institute for Health Information. HHS spends 4.9 per cent on administration, higher than the national average of 4.3 per cent but well below the provincial average of 5.6 per cent. Keep that in mind next time someone declares hospitals would be fine if only they cut senior management costs.

May 10, 2016

Hospitals have seen provincial funding cut repeatedly. The province provided some relief this year with a two per cent increase. That doesn’t even cover inflation.

That’s why it’s so frustrating when Health Minister Eric Hoskins says he doesn’t expect funding to impact patient care. What world do Hoskins and other politicians live in? It’s already affecting patient care. In Ontario, you’re not supposed to spend 48 hours on a bed in a hallway awaiting admission. You shouldn’t expect to wait double-digit hours in the ER. You shouldn’t expect to be told there’s no acute care bed for a sick relative. You shouldn’t expect years-long waiting lists for aging relatives waiting for long-term care. All these are happening and getting more common. (Source: Hamilton Spectator Editorial)

Ottawa, provinces fail to reach a deal on health spending

Ottawa and the provinces have failed to reach a deal on health-care funding, despite a $11.5-billion pledge by the federal government to boost targeted spending on home care and mental health.

The federal government has now taken that offer off the table, Finance Minister Bill Morneau said Monday, and the Canada Health Transfer (CHT) spending increase will revert to 3 per cent a year as of April 1, 2017.

Morneau had told the provinces he was willing to grow that key federal transfer by 3.5 per cent each year over the next five years — at a value of roughly $20 billion — but the provinces balked.

“We came to the provinces with a significant offer of funds … We’re disappointed we weren’t successful,” Morneau told reporters.

Jane Philpott, Canada’s health minister, said the federal government’s money could have made a real difference in the lives of many Canadians.

“I woke up this morning feeling very hopeful, thinking about half a million kids that are waiting for care for mental health services and hoping to be able to give them good news today,” she said.

“We’re disappointed that the provinces and territories did not feel like they could accept this offer and that they couldn’t find ways to use these resources immediately, to be able to get care out to Canadians.”

Ontario Finance Minister Charles Sousa said while the provinces rejected the federal funding plan, it was Morneau who was responsible for ending the meeting early.

“There was an urgency to close the meeting off. We’re here, we desire an agreement, we need to come to a conclusion. Why have anybody attend if there’s nothing to negotiate or discuss?” Sousa said, adding Ottawa wasn’t willing to listen to evidence that its proposed funding plan would imperil the country’s health-care system. (Source: CBC News)